Individual
MRS. EILEEN M KANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, CHT
Contact information
Practice address
1030 FORREST AVE STE 105A, DOVER, DE 19904-3310
(302) 268-8880
(302) 278-0272
Mailing address
750 PRIDES XING STE 112, NEWARK, DE 19713-6107
(302) 864-2222
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
40QA01230700
NJ
225100000X
Physical Therapist
9232PT
AZ
225100000X
Physical Therapist
Primary
J1-0003672
DE
225100000X
Physical Therapist
PT017843
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2812773000
IBC - KEYSTONE
PA
01
—
40QA0123070
NJ STATE BOARD OF PHYSICAL THERAPY
NJ
01
—
9232
ARIZONA BOARD OF PHYSICAL THERAPY
AZ
Enumeration date
05/18/2007
Last updated
07/28/2021
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